痴呆症与医院再入院率：一项系统评价
Dementia and Hospital Readmission Rates: A Systematic Review.
作者信息
Pickens Sabrina, Naik Aanand D, Catic Angela, Kunik Mark E
机构信息
The University of Texas Health Science Center at Houston School of Nursing - Houston, Houston, Texas, USA.
VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.
出版信息
Dement Geriatr Cogn Dis Extra. 2017 Oct 19;7(3):346-353. doi: 10.1159/000481502. eCollection 2017 Sep-Dec.
BACKGROUND
Although community-dwelling persons with dementia have an increased risk of hospital readmission, no systematic review has examined the contribution of dementia to readmissions.
SUMMARY
We examined articles in English, with no restrictions on publication dates, from Medline, PubMed, PsycINFO, CINAHL, and EMBASE. Keywords used were , , , , , , , , , , , , , and . Of 404 abstracts identified, 77 articles were retrieved; 12 were included. Four of 5 cohort studies showed significantly increased readmission rates in patients with dementia. On average the absolute increase above the comparison groups was from 3 to 13%. Dementia was not associated with readmission in 7 included case-control studies.
KEY MESSAGE
Findings suggest a small increased risk of hospital readmission in individuals with dementia. More study is needed.
背景
尽管社区痴呆患者再次入院的风险增加，但尚无系统评价研究痴呆对再次入院的影响。
总结
我们检索了Medline、PubMed、PsycINFO、CINAHL和EMBASE中不限出版日期的英文文章。使用的关键词有 、 、 、 、 、 、 、 、 、 、 、 、 和 。在检索到的404篇摘要中，有77篇文章被检索出来；其中12篇被纳入。5项队列研究中有4项显示痴呆患者的再次入院率显著增加。与对照组相比，平均绝对增加率为3%至13%。在纳入的7项病例对照研究中，痴呆与再次入院无关。
关键信息
研究结果表明，痴呆患者再次入院的风险略有增加。需要更多的研究。
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